<?php global $_webnukes; ?>
<div class="boxBody">
	<div class="show parent">
        <form action="" method="get">
            <input type="hidden" name="s" value="doctor"  />
            <style>.container2 ul.dropdownlist li{list-style:none; }</style>
            <div class="col-3">
                <h1><span class="gray thin"><?php _e('ONLINE', THEME_NAME); ?> </span><span class="blue thick"><?php _e('PHYSICIAN', THEME_NAME); ?></span></h1>
                    <div class="block">
                        <?php foreach($fields as $k=>$v):?>
                            <h3><?php echo $_webnukes->kvalue($v, 'label'); ?></h3>
                            <?php echo $_webnukes->kvalue($v, 'element'); ?>
                        <?php endforeach; ?>
                        	<div class="form2"> 
                                <input class="button" type="submit" value="<?php _e('Submit', THEME_NAME); ?>" />&nbsp;&nbsp; 
                                <input type="reset" class="button" value="<?php _e('Reset', THEME_NAME); ?>" />
                            </div>
                    </div>
            </div>
        </form>
	</div>
</div>